Elite Hospital Kingwood
An acute care hospital in Kingwood, Texas 77339
23330 Highway 59 N, Kingwood, Texas 77339. (832) 777-6165.
- Medicare payments cut under the HAC Reduction Program (fiscal year 2026)
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The short answer
Record last released by CMS on Oct 20, 2026.
- Not rated CMS’s overall rating
- Not rated patient survey rating
- 1 deficiency cited in the last three years
- 6 beds
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Apr 30, 2024: a complaint inspection.
1 deficiency cited in the last three years, 1 of them under EMTALA, the law requiring an emergency department to examine and stabilise anyone who comes to it.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Apr 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Apr 30, 2024: complaint inspection1 deficiency
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Emergency Room Log
The inspectors’ words, 756 words
“EMERGENCY ROOM LOG CFR(s): 489.20(r)(3) [The provider agrees,] in the case of a hospital as defined in §489.24(b) (including both the transferring and receiving hospitals), to maintain a central log on each individual who comes to the emergency department, as defined in §489.24(b), seeking assistance and whether he or she refused treatment, was refused treatment, or whether he or she was transferred, admitted and treated, stabilized and transferred, or discharged. §489.24 The provisions of this regulation apply to all hospitals that participate in Medicare and provide emergency services. This Standard is not met as evidenced by: 46010 Based on interview and record review, Elite Hospital Kingwood failed to maintain an accurate ED Central Log. Patient #1 arrived at the facility through ambulatory entrance on 3/17/24 at 8:58 pm to seek emergency treatment and exited the facility without being seen on 3/17/24 at 9:05 p.m. The facility entered the patient in the business “quick-registration” computer system but failed to record them on the ED Central Log. TX00495006 Findings included: Record review 4/30/2024 of the facility policy titled “ EMTALA Guidelines for Emergency Services”, last reviewed 07/31/2023, stated “ ... The Emergency Department shall maintain a central log documenting the following information: “ Each individual presenting to the ED for assistance “ If the individual refused treatment “ If the individual was refused treatment “ If the individual was transferred, admitted and treated, stabilized and transferred or discharged The central log shall also include whether directly or by reference patient logs from other areas of the hospital that may be considered dedicated emergency rooms, i.e., Pediatrics, Labor and Delivery.” Review of the facility’s emergency department surveillance tapes dated 3/17/24 at 8:58 pm showed a silver SUV pull up quickly to the ED ambulatory lobby entrance. An adult male with a black t-shirt and black baseball cap entered carrying a toddler and approached Patient Access Representative Staff ID #64. They had a verbal conversation and Staff ID #64 was typing on the computer and placing a call on the phone. When the female adult with them approached the desk, she took over the exchange with Staff ID # 64. At 9:02 pm, Staff ID #64 handed her a registration ipad and the female adult was pulling out her wallet and scanning retrieved items which she layed on registration counter. At 9:04 pm, the adult male, female and child start to head to the exit doors. The adult female is angry and appears to be yelling at Staff ID #64. Record review on 4/30/24 at 2:45 p.m. of the facility’s central log with Patient Access Manager Staff ID #54 was performed. She confirmed there was no evidence of Patient ID #1 on the facility’s central log. During a telephone interview on 4/30/24 at 2:45 pm with Patient Access Representative Staff ID #64. She confirmed she worked 10 am to 10 pm on 3/17/24. She confirmed that she recalled Patient ID #1 arriving with their parents for care after a dog bite by their family pet. She stated she had quick registered the patient with patient’s name, date of birth in the Centricity computer system. She stated that she proceeded to give them the ipad to continue registration process which they were waiting to be seen. She stated that the patient’s mother noticed the sign on the counter which stated that “facility doesn’t take Medicaid” and stated the mom asked her about that. She stated she told the mother “we do not participate in Medicaid but the doctor can see you.” She stated that “parents became angry because the child had not been taken back immediately for care and that the facility did not participate in Medicaid”, began screaming and cursing at her and left the building. She stated that the mother had started the process for registration and uploading documents on the ipad system they utilize, nut did not complete and submit it so therefore the information was not saved. Interview on 4/30/24 at 2:45 p.m. with Patient Access Manager Staff ID #54. She stated that the facility’s central log is a manually created excel spreadsheet that requires the patient access representatives to manually enter patients on the list. She stated that the patient likely was not entered in the central log because the mother failed to complete the full registration process and therefore the information did not cross over into the system where they retrieve patients. She confirmed there was no back-up system to capture patients who left without being seen, if they had not completed their registration process.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 30, 2024 | Complaint inspection | 1 deficiency cited |
How do patients fare?
- CMS gives no overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “There are too few measures or measure groups reported to calculate a star rating or measure group score.”
- CMS gives no CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “The number of cases/patients is too few to report a star rating.”
- Emergency department patients spent a median of 112 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 23% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | Not rated |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | Not rated |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Nov 16, 2020.
- Ownership: proprietary.
- It is accredited by the Center for Improvement in Healthcare Quality (CIHQ), whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Proprietary.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- CMS cut its Medicare payments by 1% for fiscal year 2026 under the Hospital-Acquired Condition Reduction Program, which does so for the quarter of hospitals that fare worst on conditions patients get in hospital.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
| Date | What | Detail |
|---|---|---|
| Medicare payment reduction (HAC Reduction Program) | Fiscal year 2026: 1% of Medicare payments |
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- 60% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Radera, LLC owns 40% directly since Nov 8, 2017; 02 Holdings, LLC owns 18% directly since Nov 8, 2017; Facility Enterprises-Kingwood owns 17% directly since Nov 8, 2017; Shawcroft Holdings LLC owns 17% directly since Oct 31, 2017; Healthcare Development and Consulting LLC owns 6% directly since Oct 31, 2017.
- 3 owners or officers are people: Jeremy Brynes (other role (CMS gives no detail), 2%); Jeremy Brynes (managing employee (on the payroll)); Jeremy Brynes (runs it (operational or managerial control)).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Radera, LLC | Owns 5% or more directly | 40% | Nov 8, 2017 |
| 02 Holdings, LLC | Owns 5% or more directly | 18% | Nov 8, 2017 |
| Facility Enterprises-Kingwood | Owns 5% or more directly | 17% | Nov 8, 2017 |
| Shawcroft Holdings LLC | Owns 5% or more directly | 17% | Oct 31, 2017 |
| Healthcare Development and Consulting LLC | Owns 5% or more directly | 6% | Oct 31, 2017 |
How does it compare nearby?
- Of the 50 hospitals CMS lists in Harris County, 23 have an overall star rating from CMS: 6 rated 5 of 5, 7 rated 4 of 5, 8 rated 3 of 5, 1 rated 2 of 5, 1 rated 1 of 5.
- CMS gives this hospital no overall star rating to compare.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.